National Provider Identifier Database

METHODIST MEDICAL CENTER OF ILLINOIS
School


Contact Information

METHODIST MEDICAL CENTER OF ILLINOIS
2702 W KRAUSE AVE
PEORIA, IL61605-2905
Phone: 309-685-8390
Fax:
Website:
Specialty Taxonomy Code
* School 363LS0200X

* Indicates primary specialty

NPI Profile & details for METHODIST MEDICAL CENTER OF ILLINOIS

NPI Number 1629355060
Legal business name
LBN
METHODIST MEDICAL CENTER OF ILLINOIS
Authorized official STEPHEN CIRONE - (REGIONAL MGR-REIMB/REV RECOGNITION)
Entity Organization
Organization subpart No
Enumeration date 11/14/2011
Last updated 02/14/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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